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Köhler disease: an infrequent or underdiagnosed cause of child's limping?
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Autores
Orientador(es)
Resumo(s)
Köhler disease (KD) is the osteochondrosis of the tarsal navicular bone of the young children, which is a self-limited condition. Typically the child reports pain with mechanical characteristics in the medial region of the foot, however, intermittent or continuous limping may be the only clinical manifestation, which delays the diagnosis and consequently exposes to unnecessary tests and treatments. We describe a bilateral KD whose clinical manifestation was unilateral limping with 4 months evolution. The radiologic evaluation showed flattening, sclerosis and irregular rarefaction of both navicular bones. Claudication persisted for four weeks, after which, the child remains asymptomatic.
Descrição
Palavras-chave
Criança Osteocondrose Ossos do Tarso
Contexto Educativo
Citação
Acta Reumatol Port. 2015 Jul-Sep;40(3):304-5.